Finance Manager

For consideration, please reach out to Jennifer Lavoie as soon as possible, ensure to include your most current resume when you apply. Connect with me on LinkedIn at Jennifer Lavoie!

If you currently work with a recruiter from Robert Half Finance & Accounting recruiter, please contact them directly.

Robert Half is seeking a Finance Manager for one of our clients in the Rutland VT area. This Finance Manager will guide financial planning, reporting, and compliance for a community-focused healthcare organization in Vermont. This Finance Manager position supports the financial health of a Federally supported Health Center by delivering accurate analysis, reimbursement oversight, and practical budget management. The role works closely with operational and clinical leaders to help preserve access to essential care through sound financial decision-making.

Responsibilities:

• Lead the development, administration, and ongoing review of operating and capital budgets, including financially supported grant programs.
• Evaluate monthly and year-to-date financial results, identify performance trends, and present actionable insights to senior leadership.
• Build cash flow projections and contribute to long-range financial strategies suited to a low-volume rural healthcare setting.
• Prepare and analyze Medicare cost reporting and other required reimbursement filings tied to Critical Access Hospital operations.
• Track reimbursement activity, including interim rate changes and settlement outcomes, while helping maintain compliance with government payment programs.
• Partner with accounting leadership to produce financial statements, management reporting, and summaries for executive and board review.
• Strengthen internal controls and uphold financial policies that align with state, federal, and healthcare regulatory standards.
• Work with department leaders to assess spending, improve cost efficiency, and support service line and staffing productivity analysis.
• Collaborate with revenue cycle teams to review payer trends, denials, collections, pricing, and charge capture performance in a regulated environment.
• Bachelor’s degree in Finance, Accounting, Healthcare Administration, or a related discipline.
• At least 3–5 years of experience overseeing financial operations within both hospital and Federally funded Health Center environments.
• Practical knowledge of Medicare reimbursement methodologies, cost-based payment structures, and hospital cost reporting.
• Strong skills in budgeting, forecasting, financial analysis, and audit readiness.
• Proficiency with Excel and healthcare financial software systems.
• Ability to manage multiple priorities independently in a resource-conscious rural healthcare setting.
• Background in a Critical Access Hospital, rural health system, or grant-supported healthcare environment is preferred.